Accounting Manager

Own the General Ledger. Build the Function.

Northwest Ambulance is bringing its accounting in house. Today the books are on a cash basis, a portion of the work sits with an outside bookkeeping provider, and no single person owns the general ledger or the judgments behind it. We are hiring an Accounting Manager to change that.

This is not a role where you inherit a closed system and keep it running. You will decide how transactions get recorded, design the close and reconciliation framework, lead the conversion from cash to accrual, and determine what comes in house from the external provider, in what order, and under what controls. The transactional work is yours to do for now — but the reason the job exists is the judgment, not the data entry.

You will report to the Controller and work closely with the Payroll Manager, operating leadership, our outsourced billing provider, and our external accountants. There is no accounting staff today; as the function grows, so does the role.

What You’ll Own

Accounting judgment and policy. Determine the right treatment under US GAAP — revenue recognition, accruals, deferrals, prepaids, capitalization — and document the reasoning. Write the accounting policies and internal controls that become the company standard, and interpret them for everyone else.

The cash-to-accrual conversion. Plan it and execute it, including establishing and s